Disimpaction advice

[pegasus3]

We have just started our first disimpaction with our 4 yr old. Dr told us that she could basically feel poo all around his tummy so he was very constipated. We are now on day 4, on the maximum amount prescribed for him ( he's only 15kg) and apart from 1 large type 2 after the very first dose we have had nothing else since. Is this normal or should I be concerned? It's only because I took him to A &E because he had symptoms of appendicitis that we have got the disimpaction regime, our gp was just going to give lactose.

[Yaleamanda]

Yes keep going until you reach rusty water looking poo, stay there for 3 consecutive days before you start reducing the dose very slowly ie 8,8,8,7,7,7,6,6 and so on until you reach a suitable maintenance dose of laxative. After a week you can add senna to the regime to help stimulate the bowels.

[pegasus3 in reply to Yaleamanda]

We were only told maximum of 6 sachets a day. For a 4 year old he is very light, only 15 kgs. His stomach isn't distended and he doesn't complain of pain. They only diagnosed him feeling his tummy, didn't do any x Ray's to check like they would do on adults.

[Yaleamanda in reply to pegasus3]

It is extremely rare to get an xray unfit you really need to go upto the maximum dose, you are going to struggle to clear him out otherwise. Definitely request a stimulant too to help move things along.

[Bambie83]

I understand their reasoning behind only going to 6 sachets, however if he’s so constipated that they can feel it so far up then it may need more than 6 to shift it...

I know my daughter never really starts properly pooing until she’s at the 6 to 8 sachets a day. And this time we had to stay of 8 for nearly a week to get to the really watery stage to make sure it was all clear.

Perhaps try and speak to the GP again and see if they can advise.

[pegasus3]

We have now reached a thick brown liquid , like sludge stage, after 8 sachets. Have we now got to the right stage for cutting back or do we need to hold out for a bit longer. We have had 24 hours of 8 sachets. I have asked the dr for senna just in case, I don't know if they have prescribed it as everything has been done by email and they haven't said what they have prescribed ( asked for repeat prescription for movicol and senna)

[Robinia]

I would keep going on the top dose until you get to brown water